NC S134

Exempts emergency medical services personnel from North Carolina's concealed carry prohibition when on duty providing tactical medical assistance to law enforcement in emergency situations, including Special Weapons and Tactics (SWAT) operations.

Requires emergency medical services personnel to complete an approved tactical medical assistance course that includes firearms safety training, instruction on state deadly force laws, and qualification on all weapon systems (lethal and less-lethal) used by supported law enforcement agencies.

Establishes approved courses as those certified or sponsored by the North Carolina Criminal Justice Education and Training Standards Commission, National Rifle Association, or law enforcement agencies and training schools with instructors certified by these organizations.

Requires instructors to file course descriptions, outlines, and certification proof annually with the North Carolina Criminal Justice Education and Training Standards Commission, or more frequently if courses are modified.

Mandates state and local law enforcement agencies provide paramedics rendering tactical medical assistance during SWAT operations with the same protective equipment provided to other SWAT team members.